Método pilates associado ou não ao comando verbal para contração da musculatura do assoalho pélvico melhora sintomas urinários e função dos MAP em mulheres com IUE: ensaio clínico randomizado

Abstract

Objective: To evaluate the effects of adding the verbal command for MAP contraction to a Pilates program on urinary symptoms and muscle strength in women with SUI. Methodology: We included women complaining of urinary loss to the efforts, randomized in Group G1 (Pilates without request of voluntary contraction) and Group G2 (Pilates with voluntary contraction of the MAP). The intervention period was 6 weeks, 12 sessions in total, lasting 50 minutes each. The PFDI-20 and ICIQ-SF questionnaires were used to evaluate urinary symptoms and MAP function was assessed by vaginal palpation using the modified Oxford scale and the Peritron® manometer. Results: 55 incontinents started treatment and 46 ended treatment, 23 in each group. The mean age was 49 for G1 and 51.6 for G2 and BMI was 26.1 Kgm2 and 26.5 respectively. Both groups improved the impact of incontinence, as evidenced by ICIQ sf (-5 for G1 and -4 for G2, p = 0.579) and for PFDI-20 (-49 for G1 and -56.2 for G2, p = 0.351). It was also observed an increase in the strength of MAP for both groups, as evidenced by Oxford (1 for G1 group and 1 for G2 group, p = 0.366), by Manometry peak pressure (3.1 for G1 group and 5 for group G2, p = 0.828) and by Manometry mean pressure (2.4 for G1 group and 4.5 for G2 group, p = 0.573). There was no significant difference between the groups in any of the outcomes evaluated. Conclusion: Add the voluntary contraction of the MAPs, was not superior to the Pilates program in relation to the evaluated outcomes (impact of incontinence and MAP function), in women with SUI.